Individual
MRS. CRYSTAL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT24804
FL
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J525104977040
DRIVERS LICENSE
FL
01
—
W230684178000
DRIVERS LICENSE
FL
Enumeration date
01/25/2023
Last updated
06/03/2026
Update your record
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